SWOT Analysis

Michelle Miller
Lynn Flannigan
Focus on Dementia
Your experience of improvement initiatives?
Improvement Fundamentals

Michelle Miller
Team Lead: Focus on Dementia
Why do we need improvement?

“It is not the strongest of the species that

survive, nor the most intelligent that
survives. It is the one that is most
adaptable to change.”
Charles Darwin
Quality Improvement – A New Concept?
 Differences between Quality
Improvement, Performance and
Research
PRIMARY DRIVERS FOR IMPROVEMENT

Having the Will (desire) to change

the current state for a better one

Will

QI
Ideas
Execution

Being able to execute the ideas,

Developing ideas that will applying quality improvement
contribute to achieve a better theories, tools and techniques
state
The Model for Improvement

Lynn Flannigan
National AHP Clinical Lead/Improvement
Advisor
Focus on Dementia
By the End of This Session you Will
• Understand PDSA testing.

• Understand how having a theory and

making a prediction aid learning.

• See how to collect real time

measurement.

• Appreciate the opportunity of

collaborative learning.
 How does it Work?
• What is my theory?
• What is my prediction?
• Move my theory into action.
• Iterative testing with learning cycles
which allows you to adapt and retest
with increasing degree of belief your
changes will work in the local context.
• Provided assurance it is the right
change before implementing to the
system
PDSA Cycle
Use of PDSA Cycles
 What to Measure?
• Outcome Measures
How does the system impact the values of patients, their
health and wellbeing? What are impacts on other
stakeholders such as payers, employees, or the community?
• Process Measures
Are the parts/steps in the system performing as planned?
Are we on track in our efforts to improve the system?
• Balancing Measures (looking at a system from different
directions/dimensions)
Are changes designed to improve one part of the system
causing new problems in other parts of the system?
 What is so Useful about Testing before
Implementation?
• Trying and adapting knowledge on a small
scale
• Learning what works in your system
• Change is not permanent
• Failure is useful, even expected
• Fewer people impacted
 The Mr Potato Head Challenge
Aim: To efficiently and effectively
provide reliable care to Mr Potato
Head (ie put him back together
quickly and have him match the
picture !)
 At your table, select four people to fill the
roles of:
• Master carer – to put Mr Potato Head together
again

• Record keeper – take record progress

• Time keeper – to accurately record time

• Accuracy inspector – to see how well Mr Potato

Head has been put together
 Accuracy
PDSA Measures • 3 – All pieces on Mr P
& positioned correctly
• 2 – All pieces on Mr P,
but one or more is out
of place
• 1 – One or more
pieces are not on Mr P.

Time
• Start: When time
keeper says go.
• Stop: when carer
indicates last piece is
in place AND removes
hand.
PDSA Documentation
 Key Points
Knowledge, understanding and belief
are gained through testing .

Tests should be small, rapid and

sequential.

Theory and prediction before every test,

and review, in comparison to results,
following the test is essential.

Learning from other teams can speed up

learning and understanding.

Measurement does not have to be hard

and aids learning.